Healthcare Provider Details

I. General information

NPI: 1609897420
Provider Name (Legal Business Name): MICHAEL J. ZOLA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 WATERMAN ST STE 2
PROVIDENCE RI
02906-2126
US

IV. Provider business mailing address

144 WATERMAN ST STE 2
PROVIDENCE RI
02906-2126
US

V. Phone/Fax

Practice location:
  • Phone: 401-785-1978
  • Fax: 401-785-1988
Mailing address:
  • Phone: 401-785-1978
  • Fax: 401-785-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDCP00314
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: